FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expert-level knowledge in MS-DRG and APR-DRG coding, with a strong focus on accuracy in DRG assignment and reimbursement. Proficient in utilizing advanced DRG encoder tools and adhering to coding guidelines and compliance regulations.
Highest-signal resume keywords
MS-DRG Coding ExperienceAPR-DRG Coding ExperienceAHA Coding Guidelines ExpertiseDRG Encoder Tools ProficiencyICD-10-CM/PCS Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
MS-DRG CodingAPR-DRG CodingDRG Reimbursement MethodologiesAHA Coding GuidelinesICD-10-CM CodingICD-10-PCS CodingOverpayment Identification AuditingData Security ComplianceExcel ProficiencyWord Proficiency
Soft Skills
Time ManagementProblem-SolvingAnalytical SkillsWritten CommunicationVerbal Communication
Tools & Technologies
3M DRG EncoderWebstratOneNote
Certifications & Qualifications
CCSCICCPCRHIARHIT
Industry Keywords
HIPAA ComplianceEXL PoliciesCoding UpdatesRegulatory ComplianceAudit Findings
About the role
Key responsibilities & impact- Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement
- Apply expert knowledge of coding guidelines and industry-leading tools to maximize overpayment identifications
- Craft clear, concise, and well-supported audit findings backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations
- Utilize advanced DRG encoder tools such as 3M and Webstrat to improve audit efficiency and accuracy
- Meet or exceed EXL quality and productivity standards, including strong uphold rates for appeals
- Stay current with industry trends, coding updates, and compliance regulations
- Adhere to HIPAA and EXL policies and procedures to ensure data security and regulatory compliance
Requirements
What you’ll need- Minimum High School Diploma (Higher education preferred)
- CCS, CIC, CPC, RHIA, or RHIT credential (Multiple credentials preferred)
- 4+ years of MS-DRG/APR-DRG coding experience
- Deep understanding of AHA Coding Guidelines and DRG reimbursement methodologies
- Prior experience in DRG retrospective overpayment identification auditing is highly desirable
- Strong proficiency with DRG encoder tools, including 3M and Webstrat
- Expert-level inpatient coding knowledge
- In-depth understanding of ICD-10-CM/PCS coding guidelines
- Ability to work independently in a remote environment
- Exceptional time management, problem-solving, and analytical skills
- Strong written and verbal communication with attention to detail
- Proficiency in Excel, Word, and OneNote
- Strong overall computer literacy
- Commitment to teamwork, collaboration, and continuous learning
- Ability to comply with HIPAA and EXL policies and procedures
Benefits
Comp & perks- Pay For Performance bonus in addition to the salary range
- Fully remote work experience from a home office
- Industry-leading training
- Career development opportunities
- Competitive benefits package
- Healthcare
- Vision
- Dental
- 401(k) options
- Mentorship and career development programs
- Hands-on experience with top-tier healthcare clients
- Culture of collaboration, support, and inclusivity